MR. THOMAS P SMITH M.D.
NPI 1801867130
Internal Medicine - Pulmonary Disease in Ruston, LA

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
78.33/100
CMS Quality Rating
1200 S FARMERVILLE ST, RUSTON, LA 71270(318) 255-3690 Get Directions Write a Review

NPPES record last updated: October 15, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Thomas P Smith M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THOMAS P SMITH M.D. (NPI 1801867130) is an individual pulmonary disease provider in Ruston, Louisiana, licensed in Louisiana (14599) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Louisiana Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1978).

NPPES Registry Identity

NPI1801867130
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMR. THOMAS P SMITHCredential: M.D.
Location Address1200 S FARMERVILLE STRuston, LA 71270-5941
Mailing Address1200 S Farmerville StRuston, LA 71270-5941 · (318) 255-3690
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1978
Enumeration DateJanuary 26, 2006
Last NPPES UpdateOctober 15, 2009
NPI 1801867130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in LA · 14599
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1200 S FARMERVILLE ST, Ruston, LA 71270

Other Identifiers 2

Medicare UPINB61354LA
Medicare NSC0599520002LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Thomas P Smith M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597845123
PECOS Enrollment IDI20100317000369
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
481 services293 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
133 services76 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
64 services59 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
64 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Louisiana Medical Center

Acute Care Hospitals · Ruston, LA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number190086
Location401 East Vaughn AvenueRuston, LA 71270 · Lincoln County
Emergency services Birthing friendly

St Francis Medical Center

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190125
Location309 Jackson StreetMonroe, LA 71201 · Ouachita County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71270 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality54.65
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 27

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier12 claims744 services$6.33 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers48 claims93 services$1.96 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
2 suppliers14 claims14 services$18.12 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
1 supplier13 claims13 services$1.48 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers32 claims32 services$74.44 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers23 claims23 services$51.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1200 S FARMERVILLE ST
RUSTON, LA 71270
Physical Medicine & Rehabilitation
1200 S FARMERVILLE ST
RUSTON, LA 71270
Nurse Practitioner (Family)
1200 S FARMERVILLE ST
RUSTON, LA 71270
Obstetrics & Gynecology
1200 S FARMERVILLE ST
RUSTON, LA 71270
Internal Medicine (Cardiovascular Disease)
1200 S FARMERVILLE ST
RUSTON, LA 71270
Nurse Practitioner (Family)
1200 S FARMERVILLE ST
RUSTON, LA 71270
Surgery
1200 S FARMERVILLE ST
RUSTON, LA 71270
Obstetrics & Gynecology (Gynecology)
1200 S FARMERVILLE ST
RUSTON, LA 71270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Smith's NPI number?

The NPI number for Thomas Smith is 1801867130. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Thomas Smith located?

Thomas Smith practices at 1200 S Farmerville St, Ruston, LA 71270. The listed phone number is (318) 255-3690.

What is Thomas Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Thomas Smith enrolled in Medicare?

Yes. Thomas Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Smith accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Thomas Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Smith affiliated with any hospitals?

According to CMS data, Thomas Smith is affiliated with Northern Louisiana Medical Center and St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Smith was last updated on October 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.